Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Under-utilization of antenatal care services in Timor-Leste: Results from Demographic and Health Survey 2009-2010

    230328_230328.pdf (581.5Kb)
    Access Status
    Open access
    Authors
    Khanal, V.
    da Cruz, J.
    Mishra, S.
    Karkee, R.
    Lee, Andy
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Khanal, V. and da Cruz, J. and Mishra, S. and Karkee, R. and Lee, A. 2015. Under-utilization of antenatal care services in Timor-Leste: Results from Demographic and Health Survey 2009-2010. BMC Pregnancy and Childbirth. 15 (1): 211.
    Source Title
    BMC Pregnancy and Childbirth
    DOI
    10.1186/s12884-015-0646-5
    School
    Epidemiology and Biostatistics
    Remarks

    This open access article is distributed under the Creative Commons license http://creativecommons.org/licenses/by/4.0/

    URI
    http://hdl.handle.net/20.500.11937/30307
    Collection
    • Curtin Research Publications
    Abstract

    Background: Timor-Leste is a young country in the Asia-Pacific region with a high maternal mortality rate of 557 per 100,000 live births. As most maternal deaths can be prevented by providing quality antenatal care (ANC) and skilled assistance during childbirth, understanding the barriers to the utilization of ANC services can enhance program implementation. This study aimed to investigate the prevalence and factors associated with the under-utilization of ANC services in Timor-Leste. Methods: Timor-Leste Demographic and Health Survey (TDHS) 2009-2010 was a nationally representative multi-stage cross-sectional study involving 11,463 households and 9,828 childbirths. Information on last born child was recorded for 5,895 mother-child pairs. Factors influencing under-utilization of ANC were assessed using hierarchical logistic regression analysis. Results: Only 3311 (55.2, 95 % confidence interval (CI) 53.1 to 57.3 %) made the recommended four ANC visits, while 2584 (44.8; 95 % CI 42.7 to 46.9 %) of them reported attending three or less ANC services. Significant factors positively associated with the under-utilization of ANC were low wealth status (odds ratio (OR) 2.09; 95 % CI 1.68 to 2.60), no maternal education (OR 1.54; 95 % CI 1.30 to 1.82) or primary maternal education (OR 1.21; 95 % CI 1.04 to 1.41), no paternal education (OR 1.34; 95 % CI 1.13 to 1.60), and having a big problem in permission to visit health facility (OR 1.65; 95 % CI 1.39 to 1.96). Conclusions: Despite the apparently good progress made in re-establishing the healthcare infrastructure, 45 % of mothers remained in need of a focused intervention to increase their use of ANC services. Further prenatal care program should pay attention to women with low wealth status and those and their partners who are uneducated. Moreover, women should be encouraged to make decision on their own health.

    Related items

    Showing items related by title, author, creator and subject.

    • Factors Associated with Non-Utilisation of Health Service for Childbirth in Timor-Leste: Evidence from the 2009-2010 Demographic and Health Survey
      Khanal, Vishnu; Lee, Andy; Cruz, J.; Karkee, Rajendra (2014)
      Background: Timor-Leste is a young developing country in Asia. Most of its infrastructure was destroyed after a long armed conflict for independence. Despite recent expansion of health facilities and investment in healthcare, ...
    • A retrospective review of stillbirths at the national hospital in Dili, Timor-Leste
      Wilkins, Alexa; Earnest, Jaya; McCarthy, E.; Shub, A. (2015)
      Background - Timor-Leste has high maternal and infant mortality rates. Estimates of stillbirths are unreliable and limited by poor collection of vital health statistics. Lack of accurate data impedes the development of ...
    • A retrospective review of stillbirths at the national hospital in Timor-Leste
      Wilkins, Alexa; Dantas, Jaya ; McCarthy, E.; Shub, A. (2015)
      Background Timor-Leste has high maternal and infant mortality rates. Estimates of stillbirths are unreliable and limited by poor collection of vital health statistics. Lack of accurate data impedes the development of ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.